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目的了解南通市60岁及以上老年人的全死因变化趋势,为政府制定公共卫生政策和预防控制措施提供科学依据。方法采用死亡率、标化死亡率、老年保健效益指数(GEI)等指标对1999—2008年南通市老年人的死亡资料进行分析。结果 1999—2008年南通市老年人平均死亡率是3 747.75/10万,标化死亡率3 234.82/10万。10年来标化死亡率呈下降趋势,平均下降速度2.00%。前5位死因不变,依次是循环系统疾病、恶性肿瘤、呼吸系统疾病、损伤和中毒及消化系统疾病,男性的标化死亡率高于女性,但女性GEI普遍高于男性。呼吸系统GEI最高(男性0.625,女性0.676),损伤和中毒GEI较低(男性0.485,女性0.533)。结论循环系统疾病和恶性肿瘤是南通市老年人预防保健工作的重点,同时还要加强呼吸系统疾病、消化系统疾病、损伤和中毒及内分泌代谢疾病的防治,以提高老年人群(尤其是老年男性)的生活质量。
Objective To understand the trend of all-cause mortality in aged people over the age of 60 in Nantong and to provide a scientific basis for the government to formulate public health policies and prevention and control measures. Methods Mortality data, mortality rate, geriatric health care benefit index (GEI) and other indicators were used to analyze the death data of elderly in Nantong from 1999 to 2008. Results The average death rate of the elderly in Nantong from 1999 to 2008 was 3 747.75 / 100 000, with a standardized death rate of 3 234.82 / 100 000. In the past 10 years, the standardization mortality rate has been declining, with an average rate of 2.00% decline. The top five death causes were unchanged, followed by circulatory diseases, malignancies, respiratory diseases, injuries and poisoning, and digestive diseases. The standardized death rate of males was higher than that of females, but women generally had higher GEI than males. The respiratory system had the highest GEI (0.625 for males and 0.676 for females), and lower GEIs for injury and poisoning (0.485 for males and 0.533 for females). Conclusions Circulatory system diseases and malignant tumors are the focus of prevention and treatment of the elderly in Nantong City. At the same time, we should also strengthen the prevention and control of respiratory diseases, digestive diseases, injuries and poisonings and endocrine and metabolic diseases so as to improve the elderly population (especially elderly men) The quality of life